|
Culture bact stool aero addl path ea
|
$11.59 |
$11.59 |
$11.59 |
$52.50
|
|
Culture body fluid
|
$50.23 |
$50.23 |
$50.23 |
$126.75
|
|
Culture fungi definitive id mold
|
$25.39 |
$25.39 |
$25.39 |
$80.00
|
|
Culture fungi definitive id yeast
|
$25.02 |
$25.02 |
$25.02 |
$80.00
|
|
Culture fungi other (except blood)
|
$14.35 |
$14.35 |
$14.35 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$10.86 |
$10.86 |
$10.86 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$11.78 |
$11.78 |
$11.78 |
$100.00
|
|
Culture mycoplasma any source
|
$11.59 |
$11.59 |
$11.59 |
$83.21
|
|
Culture quantitative aerobic other source
|
$11.22 |
$11.22 |
$11.22 |
$87.02
|
|
Culture screening strep group a
|
$24.10 |
$24.10 |
$24.10 |
$84.60
|
|
Culture typing glc/hplc
|
$6.99 |
$6.99 |
$6.99 |
$53.75
|
|
Culture typing immunologic
|
$15.64 |
$15.64 |
$15.64 |
$44.00
|
|
Culture urine each isolate
|
$4.60 |
$4.60 |
$4.60 |
$55.50
|
|
Cutter lead
|
$6,770.38 |
$6,770.38 |
$6,770.38 |
$6,581.45
|
|
Cv line/pic reposition
|
$375.44 |
$375.44 |
$375.44 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$12.54 |
$12.54 |
$12.54 |
$60.75
|
|
Cyclic citrullinated peptide antibody
|
$17.76 |
$17.76 |
$17.76 |
$72.36
|
|
Cyclosporine 2 hour
|
$11.02 |
$11.02 |
$11.02 |
$130.40
|
|
Cylinder pump set 20cm titan zero angl
|
$14,006.78 |
$14,006.78 |
$14,006.78 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$186.53 |
$186.53 |
$186.53 |
$524.00
|
|
Cyp2c9 gene com variants
|
$111.92 |
$111.92 |
$111.92 |
$275.10
|
|
Cyp2d6 gene com variants
|
$288.43 |
$288.43 |
$288.43 |
$570.70
|
|
Cyp3a4 gene common variants
|
$111.92 |
$111.92 |
$111.92 |
$241.24
|
|
Cyp3a5 gene common variants
|
$111.92 |
$111.92 |
$111.92 |
$245.31
|
|
Cystatin c
|
$10.64 |
$10.64 |
$10.64 |
$77.60
|
|
Cystine urine quantitative
|
$17.29 |
$17.29 |
$17.29 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$193.42 |
$193.42 |
$193.42 |
$586.95
|
|
Cytogenetics 25-99
|
$43.70 |
$43.70 |
$43.70 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$18.06 |
$18.06 |
$18.06 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$18.36 |
$18.36 |
$18.36 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$39.65 |
$39.65 |
$39.65 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$32.62 |
$32.62 |
$32.62 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$24.94 |
$24.94 |
$24.94 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$67.15 |
$67.15 |
$67.15 |
$135.20
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$10.02 |
$10.02 |
$10.02 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$77.81 |
$77.81 |
$77.81 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$87.19 |
$87.19 |
$87.19 |
$213.85
|
|
Cytopath smear oth prep screen & interp
|
$46.47 |
$46.47 |
$46.47 |
$96.20
|
|
Cytotoxic antibody screening
|
$27.09 |
$27.09 |
$27.09 |
$133.25
|
|
Dch pulmonary stress test
|
$30.46 |
$30.46 |
$30.46 |
$963.30
|
|
Dch validity tests
|
$2.60 |
$2.60 |
$2.60 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$17.76 |
$17.76 |
$17.76 |
$43.35
|
|
Decalcification
|
$9.17 |
$9.17 |
$9.17 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$99.94 |
$99.94 |
$99.94 |
$572.95
|
|
Delivery of placenta 59414
|
$704.52 |
$704.52 |
$704.52 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$84.00 |
$84.00 |
$84.00 |
$185.17
|
|
Desoxycorticosterone
|
$17.67 |
$17.67 |
$17.67 |
$109.28
|
|
Developmental screen/score/document 96110
|
$86.76 |
$86.76 |
$86.76 |
$142.38
|
|
Device ablt adv novasure
|
$2,468.62 |
$2,468.62 |
$2,468.62 |
$6,237.48
|
|
Device sut capio slim opn
|
$2,468.62 |
$2,468.62 |
$2,468.62 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,962.14 |
$2,962.14 |
$2,962.14 |
$2,515.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$12.73 |
$12.73 |
$12.73 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$33.63 |
$33.63 |
$33.63 |
$79.30
|
|
Diagnostic laryngoscopy 31575
|
$87.97 |
$87.97 |
$87.97 |
$338.00
|
|
Digoxin total therapeutic drug level
|
$10.07 |
$10.07 |
$10.07 |
$102.07
|
|
Dilator fascial 10fx20cm
|
$459.83 |
$459.83 |
$459.83 |
$402.10
|
|
Disaccharidases
|
$68.78 |
$68.78 |
$68.78 |
$230.40
|
|
Discography cerv/thor spine
|
$675.26 |
$675.26 |
$675.26 |
$2,565.00
|
|
Dna antibody native/double stranded
|
$18.66 |
$18.66 |
$18.66 |
$100.00
|
|
Dna gardnerella
|
$11.22 |
$11.22 |
$11.22 |
$61.83
|
|
Dna trichomonas
|
$11.22 |
$11.22 |
$11.22 |
$63.00
|
|
Doppler echo complete
|
$208.94 |
$208.94 |
$208.94 |
$558.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$192.38 |
$192.38 |
$192.38 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$46,687.27 |
$46,687.27 |
$46,687.27 |
$34,278.00
|
|
Dpyd gene common variants
|
$179.71 |
$179.71 |
$179.71 |
$423.60
|
|
Drainage lymph node lesion 38300
|
$749.74 |
$749.74 |
$749.74 |
$3,088.80
|
|
Drainage of kidney lesion
|
$290.51 |
$290.51 |
$290.51 |
$1,506.00
|
|
Drain bladder by trocar/cath
|
$341.81 |
$341.81 |
$341.81 |
$1,203.94
|
|
Drain cerebro spinal fluid 62272
|
$194.94 |
$194.94 |
$194.94 |
$1,044.00
|
|
Drain shoulder bursa 23031
|
$720.67 |
$720.67 |
$720.67 |
$3,322.80
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,975.11 |
$1,975.11 |
$1,975.11 |
$1,818.32
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$89.96 |
$89.96 |
$89.96 |
$7,465.97
|
|
Drug assay caffeine
|
$22.04 |
$22.04 |
$22.04 |
$80.00
|
|
Drug assay posaconazole
|
$22.42 |
$22.42 |
$22.42 |
$96.75
|
|
Drug assay voriconazole
|
$24.13 |
$24.13 |
$24.13 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$55.29 |
$55.29 |
$55.29 |
$66.43
|
|
Drug of abuse screen urine
|
$12.16 |
$12.16 |
$12.16 |
$67.89
|
|
Drug screening tapentadol
|
$10.64 |
$10.64 |
$10.64 |
$47.03
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$85.31 |
$85.31 |
$85.31 |
$278.85
|
|
Ductogram sgl duct
|
$151.81 |
$151.81 |
$151.81 |
$469.80
|
|
Dup scan/hemodialysis access 93990
|
$135.27 |
$135.27 |
$135.27 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$204.58 |
$204.58 |
$204.58 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$341.52 |
$341.52 |
$341.52 |
$904.78
|
|
Ecg/1-3 leads/tracing only 93041
|
$40.80 |
$40.80 |
$40.80 |
$132.08
|
|
Ecg external < 48 hours recording
|
$90.60 |
$90.60 |
$90.60 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$124.28 |
$124.28 |
$124.28 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$487.40 |
$487.40 |
$487.40 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$188.01 |
$188.01 |
$188.01 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$111.02 |
$111.02 |
$111.02 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$609.34 |
$609.34 |
$609.34 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$235.14 |
$235.14 |
$235.14 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$104.65 |
$104.65 |
$104.65 |
$371.25
|
|
Echo exam of fetal heart
|
$257.21 |
$257.21 |
$257.21 |
$904.80
|
|
Echo exam of fetal heart
|
$122.46 |
$122.46 |
$122.46 |
$538.27
|
|
Echo exam of fetal heart
|
$136.70 |
$136.70 |
$136.70 |
$431.41
|
|
Echo exam of fetal heart
|
$107.33 |
$107.33 |
$107.33 |
$318.34
|
|
Echo exam uterus 76831-
|
$122.46 |
$122.46 |
$122.46 |
$561.00
|
|
Echograp trans r pros study
|
$93.98 |
$93.98 |
$93.98 |
$468.00
|
|
Echo guidance radiotherapy
|
$206.84 |
$206.84 |
$206.84 |
$812.00
|
|
Echo guide for amniocentesis
|
$63.01 |
$63.01 |
$63.01 |
$455.57
|
